Impact of Co-Occurring Posttraumatic Stress Disorder on Suicidal Women With Borderline Personality Disorder
Abstract
OBJECTIVE: The authors examined the impact of co-occurring posttraumatic stress disorder (PTSD) on women with borderline personality disorder who had attempted suicide in the preceding year. METHOD: Female borderline personality disorder outpatients (N=94) either with (N=53, 56.4%) or without PTSD (N=41, 43.6%) and with recent and repeated suicidal or self-injurious behavior were compared in nine areas of functioning. RESULTS: Borderline personality disorder patients with and without PTSD differed in the lethality, intent, and triggers for intentional self-injury, trauma history, emotion regulation, and axis I comorbidity. The two groups did not differ in borderline personality disorder severity, axis II comorbidity, psychosocial functioning, or mental health or medical treatment utilization. CONCLUSIONS: The results indicate greater impairment among individuals with both disorders and suggest that there are some unique features associated with co-occurring borderline personality disorder and PTSD that require further attention in assessment and treatment.
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PTSD increases negative affect and emotion dysregulation in patients with borderline personality disorder.
“More generally, intentional self-injury most often functions to alleviate negative affect among individuals with BPD (Brown, Comtois, & Linehan, 2002; Kleindienst et al., 2008), and PTSD has been found to increase negative affect and emotion dysregulation in BPD patients (Harned et al., 2010; Marshall-Berenz, Morrison, Schumacher, & Coffey, 2011).”
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- Authors
- Harned, M. S., Rizvi, S. L., & Linehan, M. M.
- Affiliations
- Rutgers, The State University of New Jersey (US)
- Venue
- American Journal of Psychiatry
- Published
- 2010-10
- Volume
- 167
- Issue
- 10
- Pages
- 1210-1217
- ISSN
- 0002-953X (ISSN-L)
- 1535-7228
- OpenAlex
- W2157137679
- Cited by
- 128
- References
- 30
- Citations by year
- 2026: 5 · 2025: 7 · 2024: 4 · 2023: 7 · 2022: 5 · 2021: 10 · 2020: 9 · 2019: 7 · 2018: 10 · 2017: 7 · 2016: 8 · 2015: 14 · 2014: 9 · 2013: 14 · 2012: 6
- FWCI
- 8.81
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (MH-34486, R01MH034486)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Keywords
- post-traumatic stress disorder, borderline personality disorder, suicidal behavior, self-harm, women, comorbidities, emotion regulation, trauma history, suicidal intent, functional disability
- MeSH terms
- Adolescent, Adult, Borderline Personality Disorder, Female, Health Services, Health Status, Humans, Life Change Events, Mental Health Services, Middle Aged, Psychiatric Status Rating Scales, Surveys and Questionnaires, Stress Disorders, Post-Traumatic, Suicide, Suicide, Attempted, Comorbidity, Self-Injurious Behavior, Diagnostic and Statistical Manual of Mental Disorders
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